ABSTRACT

Group supervision presents unique opportunities for psychotherapy trainees to deepen their understanding of alliance ruptures and repair strategies. Trainees can explore challenging clinical moments and benefit from diverse perspectives and support. Group supervision also provides trainees with multiple opportunities to experience ruptures and repairs firsthand in their interactions with the supervisor and other group members. More research, particularly research using observer-based methods, would enhance our knowledge of rupture and repair processes in group supervision. In this study, seven sessions of Alliance-Focused Training, a group supervision that specifically aims to improve trainees’ abilities to recognize and negotiate ruptures, were coded for alliance rupture markers and repair strategies using a modified version of the Rupture Resolution Rating System (3RS). Excerpts of the coded sessions were used to illustrate AFT process in the absence of ruptures, and in the context of ruptures between the supervisor and trainees, between trainees, and between a trainee and the group. There were no clear examples of ruptures between trainees. The ruptures between the supervisor and the trainees were deemed to have only a minor impact on the alliance, and these minor ruptures were at least partly addressed. Based on the coding, themes related to supervisor authority, complex and subtle ruptures, and the use of metacommunication within the AFT group were discussed. The findings of this exploratory study suggest that the 3RS can be useful for measuring process in group supervision and that greater attention to group process and ruptures within the group holds promise for enhancing the effectiveness of AFT.

摘要

团体督导为心理治疗学员提供了独特的机会，以加深他们对联盟破裂和修复策略的理解。学员可以探索具有挑战性的临床时刻，并从不同的观点和支持中受益。小组监督还为学员提供了多种机会，让他们在与监督员和其他小组成员的互动中亲身体验破裂和修复。更多的研究，特别是使用基于观察者的方法的研究，将增强我们在小组监督中对破裂和修复过程的了解。在这项研究中，七节以联盟为重点的培训，这是一种专门旨在提高受训者识别和谈判破裂的能力的小组监督，使用改进版本的破裂分辨率评级系统 (3RS) 对联盟破裂标记和修复策略进行编码。编码会话的摘录被用来说明在没有中断的情况下的 AFT 过程，以及在主管和学员之间、学员之间以及学员和小组之间的中断的背景下。没有明显的学员之间破裂的例子。主管和学员之间的破裂被认为对联盟的影响很小，而这些轻微的破裂至少得到了部分解决。基于编码，讨论了与主管权限、复杂和微妙的破裂以及 AFT 组内元通信的使用相关的主题。